Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Mediating Effects of Self-efficacy in the Relationship between Communicative Competence within the Medical team and Turnover Intention in Hospital Nurses

병원 간호사의 의료진 간 의사소통 능력과 이직의도 관계에서 자기효능감의 매개효과

  • Son, Hyun Mi (Gyeongsang National University Hospital) ;
  • Sung, Kyung Mi (College of Nursing & Institute of Health Sciences, Gyeongsang National University)
  • 손현미 (경상대학교 병원) ;
  • 성경미 (경상대학교 간호대학 & 건강과학연구원)
  • Received : 2017.09.06
  • Accepted : 2017.12.08
  • Published : 2017.12.31
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Abstract

This study was conducted to investigate the mediated effects of self-efficacy in relation to communication competency within the medical team and turnover intention of hospital nurses. Data were collected from 208 nurses working at two university hospitals. In analyzing data using SPSS/WIN 23.0 program, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and after analyzed with Multiple regression analysis using Baron & Kenny's 3 stage procedure, confirmed indirect effect with Sobel test. Evaluation of relationships among communication competency, turnover intention and self-efficacy of subjects revealed a negative relationship(r=-0.22, p=0.001) between communication competency and turnover intention, a positive relationship(r=0.61, p<0.001) between communication competency and self-efficacy and a negative relationship(r=-0.25, <0.001) between self-efficacy and turnover intention. Concerning the mediated effect of self-efficacy in the relationship between communication competency and turnover intention, the influence of communication competency at stage 1 on turnover intention was significant(${\beta}=-0.22$, p<0.001), but communication competency at stage 3 had no significant influence on turnover intention(${\beta}=-0.11$, p=0.194). Accordingly, the mediated effect of self-efficacy in the relationship between communication competency and turnover intention fully mediated and the mediated effect of self-efficacy was significant(z=-2.15, p=0.032). Heightening self-efficacy by improving communication competency could effectively reduce the turnover intention of nurses.

본 연구는 병원간호사를 대상으로 의료진 간 의사소통 능력과 이직의도 관계에서 자기효능감의 매개효과를 규명하기 위해 실시된 서술적 조사연구이다. 본 연구의 대상자는 일 지역 두 개 대학병원에 근무하는 간호사 208명이었다. 수집된 자료는 SPSS 23.0을 이용하여 분석하였으며 기술통계, t-test, one-way ANOVA, Pearson correlation coefficients correlation을 확인하였다. 또한 자기효능감의 매개효과를 확인하기 위해 Baron & Kenny의 3단계절차를 이용한 multiple regression으로 분석하여 Sobel test로 간접효과를 확인하였다. 연구결과 의사소통 능력과 이직의도 간에 부적상관(r=-.22, p=.001)이 있었으며, 의사소통 능력과 자기효능감 간에는 정적상관(r=.61, p<.001), 자기효능감과 이직의도 간에는 부적상관(r=-.25, <.001)이 있었다. 의사소통 능력과 이직의도의 관계에서 자기효능감의 매개효과는 1단계에서의 의사소통 능력이 이직의도에 미치는 영향은 유의하였지만(${\beta}=-0.22$, p<.001), 3단계에서의 의사소통 능력은 이직의도에 유의한 영향을 미치지 않아(${\beta}=-0.11$, p=.194) 의사소통 능력과 이직의도의 관계에서 자기효능감이 유의하게 완전 매개함을 확인하였다(z=-2.15, p=.032). 따라서 본 연구결과 의사소통 능력을 향상시켜 자기효능감을 높여주는 것이 병원 간호사의 이직의도를 줄이는데 기여할 수 있을 것으로 보인다.

Keywords

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